Individual
MS. SAMANTHA GERMAINE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1300 W TERRELL AVE STE K230, FORT WORTH, TX 76104-3104
(817) 250-4906
Mailing address
1300 W TERRELL AVE STE K230, FORT WORTH, TX 76104-3104
(817) 250-4906
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP132837
TX
363LA2200X
Adult Health Nurse Practitioner
AP132837
TX
Other
Enumeration date
12/22/2016
Last updated
05/06/2022
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